Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Exams
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions

Pediatric Medicine


Answer 2
  1. McCune-Albright syndrome. McCune-Albright syndrome is characterized by café au lait spots, polyostotic fibrous dysplasia, and recurrent ovarian cysts; affected patients often have premature, not delayed, onset of menses. The most common cause of delayed menarche (ie, occurring after age 16 years with previous development of other secondary sexual characteristics or after age 14 years without development of other secondary sexual characteristics) is constitutional delay. This is often associated with a family history of later onset of menses. Pregnancy should always be considered in the evaluation of an adolescent with amenorrhea, regardless of whether it is primary or secondary. Prolactin-secreting tumors, which may present with or without galactorrhea, more commonly cause amenorrhea than complete lack of pubertal development. Turner’s syndrome should be considered in girls with other suggestive physical characteristics, especially short stature.

Click here to return to the questions

 

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj